Diagnosis: Stomach (distal): Invasive adenocarcinoma
Gross description: Received in formalin two specimens, 9.0- × 5.5- × 4.3- cm and 2.0- × 1.5- × 3.4-cm segments of the stomach, with a palpable firm 3.0- × 2.5-cm mass on the designated lesser curvature of the larger specimen. The external surfaces of the specimens are unremarkable and inked black. The curved surfaces demonstrate the mass and adjacent firm areas of nodularity. The remainder of the gastric mucosa is unremarkable.
Microscopic description: Microscopic examination was performed. See synoptic report.
Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The correct answer is C because the diagnosis is invasive adenocarcinoma of the stomach, which is coded as C16.5. The gross description mentions two specimens, so the appropriate CPT code is 88309 x2.

Diagnosis: Stomach (Distal): Invasive Adenocarcinoma